- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT06234540
a-PRP Intrauterine Instillation in Women With Thin Endometrium (PRP(a-PRP))
Effect of Autologous Platelet Rich Plasma(a-PRP) Intrauterine Instillation in Infertile Women With Thin Endometrium in Frozen-thawed Embryo Transfer Cycle: a Randomized Controlled Study
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
At present, infertility is a major problem in Thailand. As a result, the Ministry of Public Health has to push the guidelines for using reproductive technology to play a role in increasing the population in the country. The most well-known use of reproductive technology is In vitro fertilization (IVF) has a success rate of approximately 35-40%. There are many factors affecting the success of pregnancy, one of which is the thickness of the uterine cavity.
An endometrial thickness of less than 7 mm in the middle of the menstrual cycle is called endometrial lining. Thin endometrium, which can affect pregnancy Both the rate of embryo implantation pregnancy rate and miscarriage rates In the process of IVF In practice, the appropriate and popular thickness of the uterine cavity for embryo transfer is based on a thickness greater than equal to 7 mm. This is because many studies have found that the thickness of the uterine cavity At 8 mm, this can significantly increase pregnancy rates.
Platelet Rich Plasma (PRP) is another new treatment approach. There is information and research results that show that PRP can increase the thickness of the uterine cavity. and found to help increase blood flowing to the area The uterine wall in infertile women who have a thin uterine cavity. According to a study by Chang et al., in 2015, PRP was used to increase the thickness of the uterine cavity. Found that it can increase the thickness of the uterine cavity. It also tends to increase the pregnancy rate. This is likely caused by Helping increase the number of cells cell regeneration and repair of worn out parts of body cells Through the main mechanism of PRP is adding substances that stimulate cell growth (Growth factors) and proteins that are signals between cells (Cytokines). Someone has studied and compared the levels of substances that stimulate cell growth in PRP. Compared with lymph (plasma), it was found that the levels of cell growth stimulants in PRP were 2.4-2.8 times higher than those in lymph, with statistical significance.
Moreover, the process of preparing PRP is not complicated and the prepared ingredients do not cause any harmful side effects to the body. Therefore, it can be seen from various sectors and various studies that PRP has been used to accelerate growth, such as treating hair loss or baldness. Reducing inflammation or pain in various joints Or even use it to restore beauty, nourish the skin, etc.
In this study The authors therefore attempt to demonstrate the benefits of PRP that may promote endometrial thickening in women with endometrial hyperplasia in order to achieve appropriate endometrial thickness. Received embryo transfer in the next embryo freezing cycle. In addition, in Thailand there has never been a study of increasing the thickness of the uterine cavity with PRP injections before. Therefore, the creators expect that this method may be a method that can increase the implantation rate. Embryo or clinical pregnancy rate Including reducing the rate of embryo implantation cancellations to reduce anxiety for infertile couples in Thailand.
Study Type
Enrollment (Estimated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Sootthinan Pothisan
- Phone Number: 0894600852
- Email: sootthinan.pot@gmail.com
Study Contact Backup
- Name: Nichamon Parkpinyo
- Phone Number: 0867632251
- Email: ni_nichamon@hotmail.com
Study Locations
-
-
Bangkok
-
Bangkok Noi, Bangkok, Thailand, 10700
- Recruiting
- Siriraj Hospital
-
Contact:
- Sootthinan Pothisan
- Phone Number: 0894600852
- Email: sootthinan.pot@gmail.com
-
Contact:
- Nichamon Parkpinyo
- Phone Number: 0867632251
- Email: ni_nichamon@hotmail.com
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Patients who will undergo frozen embryo transfer (Frozen-thawed cycle)
- Age above 18 years
- Thai nationality
- Have a history of cycle cancellation due to a thin endometrium <7 mm. after standard hormonal treatmetn
Exclusion Criteria:
- medical conditions eg. Platelet dysfunction , vWD
- thrombocytopenia <100,000 cell/mm3
- Receive antiplatelet therapy
- Uterine anomaly, cavity distortion eg submucous myoma uteri, uterine synergia, endometrial polyp
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Triple
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: aPRP 1
a-PRP intrauterine instillation on Menstruation Cycle Day 8 during frozen thaw cycle procedure
|
a-PRP intrauterine instillation before frozen-thawed embryo transfer cycle
|
Experimental: aPRP 2
a-PRP intrauterine instillation on Menstruation Cycle Day 8 and Day 10 during frozen thaw cycle procedure
|
a-PRP intrauterine instillation before frozen-thawed embryo transfer cycle
|
Experimental: Controlled
Standard treatment of frozen thaw cycle
|
Standard treatment
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
endometrial thickness
Time Frame: day 12
|
compare endometrial thickness among 3 group
|
day 12
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
endometrial thickness difference between day 8 and day 12
Time Frame: between day 8 and day 12
|
compare endometrial thickness day 8 and day 12
|
between day 8 and day 12
|
clinical pregnancy rate
Time Frame: 12 weeks
|
seen FHB at 12 weeks
|
12 weeks
|
chemical pregnancy rate
Time Frame: 2 weeks after transfer
|
hcg > 25 u
|
2 weeks after transfer
|
miscarriage rate
Time Frame: up to 12 weeks
|
abortion < 12 weeks
|
up to 12 weeks
|
cancellation rate
Time Frame: day 14
|
cancel cycle from thin endometrium < 7 mm
|
day 14
|
Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Sootthinan Pothisan, Mahidol University
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Other Study ID Numbers
- 853/2566(IRB4)
- WHO (Other Identifier: U1111-1303-0085)
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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